National Provider Identifier [NPI]: |
1992962369 |
Last Name Of The Provider |
BERGER |
First Name Of The Provider |
YANIV |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2700 QUARRY LAKE DR |
Street Address 2 Of The Provider |
SUITE 280 |
City Of The Provider |
BALTIMORE |
Zip Code Of The Provider |
212093742 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
45 |
Number Of Services |
2458 |
Number Of Medicare Beneficiaries |
719 |
Total Submitted Charge Amount |
348853 |
Total Medicare Allowed Amount |
225325.99 |
Total Medicare Payment Amount |
154592.86 |
Total Medicare Standardized Payment Amount |
146434.72 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
289 |
Number Of Medicare Beneficiaries With Drug Services |
239 |
Total Drug Submitted ChargeAmount |
18626 |
Total Drug Medicare AllowedAmount |
12112.55 |
Total Drug Medicare PaymentAmount |
11857.32 |
Total Drug Medicare Standardized Payment Amount |
11857.32 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
37 |
Number Of Medical Services |
2169 |
Number Of Medicare Beneficiaries With Medical Services |
718 |
Total Medical Submitted Charge Amount |
330227 |
Total Medical Medicare Allowed Amount |
213213.44 |
Total Medical Medicare Payment Amount |
142735.54 |
Total Medical Medicare Standardized Payment Amount |
134577.4 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
52 |
Number Of Beneficiaries Age 65 to 74 |
347 |
Number Of Beneficiaries Age 75 to 84 |
217 |
Number Of Beneficiaries Age Greater 84 |
103 |
Number Of Female Beneficiaries |
398 |
Number Of Male Beneficiaries |
321 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
414 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
665 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
54 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
11 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0577 |